Page 206 - Personnel Policy and Procedures Manual

Form RM-FI
FACILITIES INSPECTION

DEPARTMENT -__________________________________DATE -_________________________

INSPECTOR -_________________________________________________________________

1. Fire Protection/Prevention - YES NO
a. Alarm system available and serviceable
b. Extinguishing equipment serviceable
c. Exits free of obstructions

d. Exit doors are functional.
e. Flammable materials are properly stored
f. Stairs/fire escapes clear of debris
g. Employees aware of evacuation procedures

2. HOUSEKEEPING - YES NO
a. Isles and floors are clear.
b. Storage and piling of materials is not present.

c. Wash and locker rooms clean and not cluttered.
d. Lighting and ventilation is adequate.
e. Waste is disposed of daily.
f. Yards and parking areas are clear and pose no hazards.
g. Utility room is free of stored materials.

3. OFFICE EQUIPMENT - YES NO
a. Rolling chairs have 5 prong base.
b. Chairs are adjustable to the user.

c. Desks are free from splinters and defects.
d. Electrical devices are serviceable and cords not frayed.
e. Surge protectors, not house hold extension cords, are in use.
4. ADMINISTRATION - YES NO
a. Notice of Panel Doctors is posted in prominent location for employees.

b. Employees participate in regular safety meetings.
c. First Aid kit is available and stocked.
d. Weather radio is available and serviceable.

5. COMMENTS -__________________________________________________________________________

________________________________________________________________________________________

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All Rights Reserved – As approved by the Commission on 05-07-2019 205 | P a g e